PEDIATRIC ADOLESCENT MEDICINE INC. NPI 1902975899

NPI Information

PEDIATRIC ADOLESCENT MEDICINE, INC. is an adolescent medicine pediatrics in Selma, AL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ADOLESCENT MEDICINE, INC. NPI is 1902975899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1107 VOEGLIN AVE
SUITE 202
SELMA, AL
ZIP 36703-301
Phone: (334) 874-4843
Fax: (334) 874-9598

The provider's authorized official is Patricia Ann Kendrick-robinson .
The authorized official title is M.d. and has the following contact phone number (334) 874-4843.

The CLIA number assigned to this NPI record is 01D0306147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.